Reply to 5 Year Old with Cavity Between Teeth

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Reply to "5 Year Old with Cavity Between Teeth - Oral Sedation to Fill?"

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[quote=Anonymous]I’m late to this post but finally remembered
to ask my DH (general dentist of 20yrs, sees a fair number of kids, not a ton) about it.

He laughed and said a pediatric dentist wouldn’t blow an hour on what should take 20min in this case unless (1) dentist really thinks kid is going to be a problem with behavior/compliance and perhaps kid’s parents are delusional about this or (2) patient is on Medical Assistance- pediatric dentists will milk that for anything they can get

DH said that he has done plenty of fillings on kids that age. For good patients or kids of staff members, he will give it 2 attempts (if kid is non compliant one day, he will have them come back another day for a 2nd try)- spending a lot of time and losing $ and production doing so. He uses his full arsenal of patience, video glasses, buzzy for the shot etc. He is a nice guy and super good with kids. If after 2 attempts he can’t get reasonable compliance- he refers to pediatric dentist.

He said that for our own kids- he’d not allow oral sedation for such a simple procedure unless clearly warranted and have tried the above first- at minimum. Given the age of the child in the post, and the (fairly simple) nature of the work needed.

That said, he also doesn’t see the reluctance about using nitrous. It can be enormously helpful. Other times, kids are frightened of the mask itself and it makes things worse.

His advice is to call your own general dentist and see if they can help you out. Pediatric dentists are important and have their role, but can be quite overzealous. He has a fair number of stories about this.

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